| NPI | 1093447179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT RAY Owner/ Occupational Therapist 870-919-8739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 235Z00000X Speech-Language Pathologist, | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-06-28 |